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HomeMy WebLinkAbout78054A_Marlow, Patricia_20210211CAMA / E7 DREDGE & FILL N9 78054 A B C D GENERAL PERMIT Previous permit# INew El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f `tA ,), � O O Rules attached. Applicant Name Jlc i w, c� G A. Ko r I u hJ Address $34O 54on.t F1cr.'7c- j,& i2� City - A, aA1e'rcx Stated ZIP aITSI Phone # (19%) g!M- 433t E-Mail Authorized Agent Affected ❑ CW 'XEW IPTA IXl ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /& PNA yes / no Project Location: County I e r4 Street Address/ State Road/ Lot #(s) I 1 � \,VCb1-, Si. , j i # Li Subdivision City 4-leC\ ZIP d4944 Phone # ( ) River Basin c cry IC Adj. Wtr. Body Mal me / j c So n at, man /unkn) Closest Maj. Wtr. Body A I Vc t.,` r l< So � ^ c' Type of Project/ Activity �c ti le, cif i F bu ► Kl ct, cl (Scale: N,. T. 5► ) Flier I Fixec Float Finge Groii $urkt Basin Boat Boatl Beac Othe Shon SAV: Morz Phot Waiv A building permit may be required by: pe iu,...lne. r+ 5 C`v .r� `/ ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions f Agent or nt Printed N me Signature * Please read compliance statement on back of permit" 14Co Oo #yySa. Application Fee(s) Check # PermitOff Name L-Stgnature dJd.1 Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules Other: Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: p "') 4) 1 C o i Phone Number: 856 889 4337 Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development. - TO CONSTRUCT 100/FT REPLACEMENT BULKHEAD at my property located at. 115 VVEBB ST, HE=RTFORD N.0 in Pelrl . is aaats County. I furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: 7*� !i , ✓xlr/".f"f>"f Signature 41 Print or Type Name Title Date This certification is valid through I_ I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED I hereby certify that I own property adjacent to ' P - ' s 0 g 2021 (Name of Property Owner) FEB property located at 115 WEBB ST, HERTFORD N.0 (Address, Lot, Block, Road, etc.) � /�_CC on ALBEMARLE SOUND , in HERTFORD N.CCg G (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location L-� I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) TO CONSTRUCT 100/FT REPLACEMENT BULKHEAD WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement_ (Property Owner Information) (Adjacent Property Owner Information) Signature Signature Print or Type Name Print or Type Name ' Mailina Address �— Marling Address City/State/Zip City/State/Zip e L -7 t 856 889 4337 Telephone Number/email address Telephone Number/email address Lq -d�) Date Date* (Revised Aug. 2014) ;Valid for one calendar year after signature* RECEIVED I hereby certify that I own property adjacent to - s (Name of Property Owner) FEB 0 9 2021 property located at 115 WEBB ST HERTFORD N.0 (Address, Lot, Block, Road, etc.) on ALBEMARLE SOUND in HERTFORD N.0 tD.CM-EC (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location r/ I have no objection to this proposal. i have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) TO CONSTRUCT 100/FT REPLACEMENT BULKHEAD WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Tvpe Name Mailinq Addrpcc t;itylStatelZip 856 889 4337 Telephone Numberl email address Date *Valid for one calendar year after signature* (Adjacent Pro rty O er Information) Print or Type Name i L We 1,,6 St Mailina Addn6se City/State/Zip s — j f- •� L -:z. i Telephone Numberl email address 9-36 Date* (Revised Aug. 2014) , =�Jzts 1-1 fr ,klI7d° A•` yt V` ��wr ro w > •m a e i e w ^ v .: A. ,R N .. ' f, Al mom r " „�",.. -_